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Daily Health Tips: My Baby Has The Flu!
Q: Hello mum my two weeks old babe has flu what do I do?
A: Hello you! The post below should answer your question too.
Q: Please ma’am, my baby is 3 weeks old. I was induced and since I gave birth the baby has had cough. He’s gone through the third prescription now, but they have all failed.
A: Thanks for writing in.
I’m not sure what prescription the baby has been on. Cough syrups? Antibiotics? When you say prescription, do you mean it was prescribed by his paediatrician?
Generally, cough could be due to common cold, allergies or other irritants in the environment, croup, whooping cough etc.
If your baby has a common cold, giving an antibiotic does not help as it is not a bacterial infection. Indeed, giving antibiotics when they are not needed can make organisms develop antibiotic resistance. Cough syrup is also not a great idea as it may contain substances that could speed up baby’s heart rate. A common cold is a viral infection. With or without medication, the infection will run its course and resolve.
So what can you do? Your baby probably also has nasal congestion too. So:
Try to prop up baby’s head when he’s sleeping at night.
Use an air humidifier to make it easier for your baby to breathe. If you don’t have an air humidifier, you can run a warm shower and take baby into the bathroom to inhale the steam. Be careful that the air is not too harsh and of course, we don’t want to deal with burns.
Be sure to give baby sufficient fluids. At his age, he should still be on exclusive breastfeeding. So, breastfeed judiciously. If nasal congestion interferes with breastfeeding, you can use a cup and spoon to feed the baby. The mouth breathing practised by these children due to nasal congestion exposes them to dehydration and so there is a need for adequate fluid intake.
A suction bulb can help remove mucous from the nose especially if it’s interfering with breathing.
If baby’s cough lasts more than 2 weeks or he develops your fever, please get him to his doctor.
For a related post, please click on this link:
Have a good night, people 😀
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Daily Health Tips: Can A Uterus Be Replaced If It Had Been Removed?
Q: Dr I want to know something: What if a woman has removed her uterus? Is it possible to replace with another one?
A: Well, theoretically, it is possible. A lot of work: research with animals etc has been done in preparation for transplant of uterus in humans. I’m aware of two procedures that have been carried out: in Saudi Arabia and in Turkey. The Saudi procedure failed after a couple of months as blood clots formed in blood vessels supplying the womb. A couple of other hospitals are at advanced stages of preparedness to carry out the procedure, learning from the mistakes of others.
Other choices available to women with no wombs include surrogacy (where another woman carries and delivers a baby for the couple who wish to have a baby) and adoption. Have a chat with your doctor to explore all options available.
For a related post, please click on this: https://chatwithdrketch.com/2014/08/07/daily-health-tips-what-are-my-options-after-ectopic-pregnancy-and-failed-ivf/
Have a good night, y’all 😀
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Daily Health Tips: Does Excessive Water Intake Put Strain On The Kidneys?
Q: Excessive drinking water can cause stain on your kidneys; is it true?
A: Thanks for writing in. I’m not quite sure I get your question but I assume you meant to ask whether drinking excessive amounts of water puts strain on your kidneys. A question I had answered before speaks to this.
Here goes:
Q: Dr Ketch, sorry I want to know if it is it normal to be taking too much water and I want to know if it has a side effect. If I wake up, before brushing, I normally take four sachets of water. I want to know if I should continue or reduce the quantity I take every day.
A: Wow! Four satchets, before you even brush?! That’s interesting! Are you drinking because you’re thirsty or because you think it’s just right to drink that much?
I believe that a satchet of water is about 250mls…am I right? So, you’re really taking about 1l at a time. While this does not qualify as water intoxication where massive amounts of water are taken in a short time, giving the kidney way too much work to do with resultant headache, nausea, diarrhea, vomiting, brain swelling later etc, it’s certainly not a great idea to drink too much at any given time. Space it out all through the day. Be guided by your thirst. Drink until you no longer feel thirsty and stop. Also check your urine, if it’s light yellow, then you’re good. If it’s a darker hue, you’re probably dehydrated.
Remember that while the rule of thumb is for you to drink 8 glasses of water per day, there’s no evidence to really back it up…but it’s just easy to remember. Your fluid requirement depends on age, location, activity level etc. So, if you’ve been exercising vigorously, you need, at least as much water as you lost in sweat. So, still using our ‘unscientific’ 8 glasses :D, spacing out your intake may mean taking 2 glasses of water with each meal and one glass with each snack (mid-morning and mid-afternoon).
For more, please click on this link https://chatwithdrketch.com/2014/02/22/daily-health-tips-how-much-water-should-i-drink-in-a-day/
So, there you go 😀
Have a great night, folks 😀
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Grief: The Soul-Cry Of A Grieving Mum (Part 1)
Last week, I received a call from a friend who told me about a lady who had lost her baby. She was distraught and he figured she needed some help to tide her over this period. Immediately, my mother side empathized but my doctor side started thinking clinically. I immediately thought of clinical psychologists I knew who could help with grief counseling. The one person I knew, I just could not locate his phone number! So I called up doctor friends for some other leads. Long story short, at some point, I figured that perhaps I should have a chat with her myself. The friend who had called me had actually hinted as much.
So, I called her. What do you begin to tell a mother who lost her baby 2 days before? Well, the phone call went thus:
Me: Hello, good afternoon. How are you doing?
She (Very low voice): I’m fine. Thank you.
Me: How are you holding up? I understand your baby was ill a few days back?
Then she says: Oh no! My baby is fine. He’s just sleeping.
Okay! That was it. I was definitely not going to do this over the phone. This mother was definitely in denial and a physical visit was definitely a better option than a phone call. Denial is usually the first stage of grieving and is very normal. Nobody wants to believe this terrible thing has happened. You want to hope and pray that it was all a bad dream!
So, I asked her if it was okay to come visit her.
She agreed and we scheduled an appointment for the next day, Saturday.
I got there and met her. Lovely lady with a beautiful family. The picture of the boy who died was so ‘beautiful’, you could not help but feel he was going to say something to you from the picture. So cute!
We started talking. I asked her to just talk to me about him. It was as beautiful as it was painful. I’m a mother of 3 children and I could only imagine what she was going through! I ended up holding her hands, listening with tears silently running down my face (I hoped she didn’t notice). I tried not to offer any of the meaningless platitudes we usually offer grieving people which do not help. This was really all about her and if she wanted to be angry with any and every one, she totally had a right to… for now.
After the first session and a couple of phone calls later, I encouraged her to put her thoughts down on paper. In writing about what she was experiencing, she just may be able to begin to ‘deal’ with her grief. And that’s what she did.
Below is the first installment of her story. If you’re going through the same thing or perhaps you have gone through this, please drop a line to encourage Mrs. M (not real name). Even if you haven’t gone through, feel free to drop a line of you would like to.
Here goes:
Today makes it one week my baby left me to be with the Lord. It’s still like a dream.
The strangest thing happened this morning. I was in the kitchen preparing my daughters lunch box when I heard his cry as clear as day. Twice. For a few seconds, I believed he was here with me. I quickly reminded myself that he was gone. Gone, so ‘very’ gone. Left me on the 20th of January 2016. Left me while I was still holding him in my arms. I will never forget the look in his eyes. The sound of his last cry. Like…begging me to help him. After that, he rolled his eyes and was gone. Just like that.
All I have now are his memories in my head. I see his face everywhere. I can hear him laughing. My baby. I feel so numb. I won’t get to watch him sleep, carry him when he cries, change his smelly diaper. Give him a bath and watch him get so fascinated by the running water. I won’t ever get to watch him learn how to crawl. He won’t ever sleep beside me ever again. I won’t feel his little fingers wrap around mine.
I have questions but no answers. I feel like giving God a hard shake, shake him so hard and ask Him why. But the Good book says you can’t question God. He knows best. He gives, He takes.
Painful does not begin to describe it. No words can ever describe it. The pain, the emptiness, the ‘what IF’s’.
I walk around like a zombie thinking in my head this must be a very bad dream. I wake up every day realizing it’s not.
Could I have done something different? If my husband and I had taken a different decision, would he still be alive? Would it all have turned out differently? Maybe, maybe not.
The reality is, my 9-month old baby boy is gone. He left me. Just like that. I want to cry out. Shout out…but nothing much comes out. Only this hole in my heart…like a stab wound. The only difference is, the knife is still there digging deeper and deeper every day.
How do I forget every Wednesday? In my arms, I carried him when he was born. In my arms he died. Some days are better than others or worse. I don’t know how today will turn out.
Mrs M.
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Daily Health Tips: I Get Too Wet!
Q: Ma’am, what could be the cause of over-wet vagina before sex. During the period of having sex the vagina is already too watery.
A: Well, this certainly a case of different strokes for different folks! Some complain that they are dry and you complain that you are overly wet! Well, this should not be a bad thing as this is supposed to be sufficient lubrication to make sexual intercourse that much more enjoyable.
However, if your vaginal discharge is associated with a smell, an itch or pain, it could be that something is wrong. Please check this out with your doctor.
For related posts, please click on these links:
https://chatwithdrketch.com/2014/04/27/daily-health-tips-is-vaginal-discharge-normal/
Have a goodnight y’all 😀
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Daily Health Tips: Should A Pregnant Woman Continue With Folic Acid After The 1st Trimester?
Q: Ma’am, is it right for a pregnant woman who has passed twelve weeks to continue with folic acid because when I went for antenatal visit, the doctor didn’t give me the folic acid? I thought, maybe, he forgot, so I continued in taking it. NB, I was past the twelve-week mark then.
A: World Health Organization recommends that pregnant women receive folic acid and iron tablets daily. Folic acid prevents neural tube defects which may occur during the first 28days of pregnancy. This is usually the period when quite a number of women do not even know they are pregnant. Thus, women who plan on getting pregnant should start on folic acid supplements at least 3 months before their planned date to safeguard against neural tube defects. If you haven’t started this earlier and realize you’re pregnant, start taking them as soon as possible.
So, ask your doctor why he didn’t give you this. Perhaps, he gave you some other supplements that contain folic acid. Please check this with him as soon as possible so that you don’t take too much of a good thing J
By the way, it’s also a great idea never to assume why your doctor does anything. ALWAYS ask him/her why they advise or do anything, if you’re not clear.
Have a great night, y’all 😀
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Daily Health Tips: I don’t Know If I’m Pregnant
Q: Dr, I want to know if is possible for someone to get pregnant and still see period. My midwife says I am pregnant and I just saw my period, although I am seeing changes on my tommy and sometimes feel as if something is moving inside of me. I am worried and don’t know what to do. Please Dr, I need your help.
A: Thanks for writing in. First question is, ‘have you run a pregnancy test?’ Are you seeing a doctor (obstetrician) especially if this is your first pregnancy? Please be sure to see one. Depending on how far along you are, you will also have a pregnancy scan and can hear your baby’s heart beats! So, first confirm that you are truly pregnant.
People do not menstruate when pregnant. Remember that menstruation happens when fertilization of eggs released during ovulation by sperm does not occur. And so, if fertilization and pregnancy occur, menstruation is ruled out.
Bleeding can occur in early pregnancy though, close to or about the same time as the menstruation would and thus be mistaken for a period. This bleeding could be due to implantation as the fertilized egg implants itself in the uterus (womb). Other causes of bleeding in early pregnancy include ectopic pregnancy, miscarriage and infections.
Bleeding in pregnancy may not necessarily be an emergency but because there are other causes of these episodes of bleeding, which are potentially life threatening like ectopic pregnancy, bleeding in pregnancy should always be checked out in the hospital. Better safe than sorry 😉
Have a good night y’all 😀
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Daily Health Tips: Why Do I Like Eating Sand And Ice Cubes?
Q: Dear Dr I was eating soil and then I change to eating ice. Now I can’t control urine. I’m always wet. I use pant liner. My question is, what are those things can cause these?
A: Hmm! Could something be wrong with you? Maybe…or maybe not. If you live in a very hot place with frequent power cuts and taking some ice cubes makes you feel cool (literally and figuratively :D), then that makes sense. If you’ve just taken a mouthful of very spicy food or perhaps have a dry mouth and need an instant ‘cool me down’ solution, then ice cubes may not be a bad call. This could develop into a habit or something you do when bored.
However, constantly eating ice cubes (pagophagia) or other non-food items like chalk, hair, glue, sand, clay etc, generally called pica, could be associated with some disease conditions like iron deficiency anaemia. Moving from one (eating soil) to another non-food item (ice cubes), could certainly be suggesting that something is wrong. Other causes include pregnancy, poverty and conditions like autism.
The exact cause of pica has to be found out as it puts one at risk of :
• Bacterial and parasitic infection from eating sand
• Constipation by eating things like hair or even obstruction of the intestines!
For details of this condition, please click on these links:
In addition, eating ice can lead to cracked teeth which may eventually result in teeth sensitivity. So, you might want to be even more careful 🙂
I suggest you go visit the hospital to check your ‘blood level’ (haemoglobin level). This will give an idea as to whether this is due to iron deficiency. Your doctor will exclude other causes and in some cases, if this is a compulsive behavior, mental health physicians may be required.
As for difficulty controlling urine, here’s how to train that recalcitrant bladder!
• Keep track of the number of times you urinated during the day or had accidental leaks.
• Keep track of the time between each accident or toilet visit to urinate.
• If you realise that you usually go to urinate after every 2 hours then add 15 minutes to it. Once the 2 hours 15 minutes are up, then go and urinate. If you feel the urge before the 2hrs 15 minutes are up, then remind yourself that your bladder is really not full, try your pelvic floor exercises etc to stop the urge.
• As this works, increase the interval between bathroom visits by another 15 minutes and continue in that way until your bladder is properly trained 😀 Never thought it was lack of home training that made your bladder mess with you, right?!
Remember though that having frequent sudden urges to urinate is not only due to an over-active bladder (which makes you want to urinate even when you have very little urine in your bladder); it can be due to a urinary tract infection, prostate problems etc. So be sure to confirm with your doctor. The symptoms due to overactive bladder can be controlled by bladder training as described above.
For related tips, please click on this link: https://chatwithdrketch.com/2014/05/16/daily-health-tips-urinary-tract-infections/
Have a good night, y’all 😀
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Daily Health Tips: Red Flags In Pregnancy
Red flags in pregnancy are those symptoms that must be heard and checked out by your obstetrician immediately:
Significant bleeding. If you’re not sure what is significant and what’s not, please see your doctor all the same. Better safe than sorry.
Severe abdominal pain: This could be a sign of a threatened miscarriage
Severe nausea/vomiting: This could lead to dehydration which could affect the baby adversely
Severe dizziness
For more tips on red flags in pregnancy and other tips on pregnancy, parenting, diet and so much more, get your copy of the book, ‘Just For The Health Of It’
This is a great read and a fabulous gift to loved ones. It is a great gift for anyone who wishes to live and eat healthy, lose weight, get ready for pregnancy and parenting. Buy copies for bridal showers, baby showers, festive seasons etc. It’s a gift that keeps on giving 😀
Here’s what someone said after receiving it as a gift:
‘Good morning, Dr Ketch. I was given your book (Just For The Health Of It) as a Christmas gift by a friend of mine. I’m so happy. God bless you’
Make yourself and someone else happy by getting a copy from any of the following outlets:
1) Laterna Books online shop with nationwide delivery. Just click on this link: https://www.laternabooks.com/laterna_product_details.php?v=15450&c=44
2) Another option for those in Lagos is Laterna Bookshop on 13, Oko-Awo Close, Off Adetokunbo Ademola Street,. Victoria Island.
3) Jumia.com. Just click on this link http://www.jumia.com.ng/jumia-books-just-for-the-health-of-it-with-dr-ketch-179486.html and get a copy. You have the option of paying when the book is delivered to you or paying online. This service is available all over Nigeria.
4) If you’re outside the country, please visit Amazon through this link http://www.amazon.com/Just-Health-Ketch-Pregnancy-Parenting/dp/9789398026/ref=sr_1_1?s=books&ie=UTF8&qid=1426246647&sr=1-1&keywords=just+for+the+health+of+it+with+dr+ketch+olalere+nkechi
For those in Abuja and environs, please call 07030739403 or pick it up at No 5 Bricks Market, Dawaki 11 Market, Dawaki extension.
For those in Awka, please call 08189944090.
Have a great week ahead, y’all 😀
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Daily Health Tips: How Can I Prevent High Blood Pressure?
Q: Dr hi. I have a question what can I do to prevent the BLOOD PRESURE?
A: Hallos! Thanks for writing in. I assume you want to know how to prevent high blood pressure (BP).
BP is the pressure with which blood pushes against your vessels as it passes through your body. A normal blood pressure allows blood to flow and deliver oxygen and food to different parts of the body.
• We measure blood pressure with two numbers (ie, 124/84 mmHg). The first number is called the systolic blood pressure and the second is called the diastolic blood pressure. These two numbers are written as ‘systolic/diastolic’ followed by the unit of measurement.
• Systolic blood pressure is your highest blood pressure measurement and is recorded when your heart contracts.
• Diastolic blood pressure is your lowest blood pressure measurement and is recorded when your heart relaxes and fills with blood.
• The ideal blood pressure is 120/70mmHg. Any figure between this and 140/90 is pre-hypertension and a call to action and lifestyle modifications.
Reduce your risk generally by imbibing lifestyle modifications:
Be physically active for 30 to 60 minutes on most days of the week. Try walking, biking, swimming, dancing or any other physical activity that you enjoy. Remember that even a little bit of physical activity is better than no activity at all.
Eat a lot of fresh fruits and vegetables, low-fat dairy products and other foods low in fat and salt. Avoid fast foods, canned foods or foods that are bought prepared, as well as any foods where you can see the fat in them.
If you drink more than two alcoholic drinks each day, drinking less will help to lower your blood pressure. A regular-sized bottle or can of beer or a regular-sized glass of wine are each equal to a single alcoholic drink.
Keeping your body weight within a healthy range also prevents high blood pressure. If you are overweight, losing about 10 lbs (5 kg) will lower your blood pressure, and reducing your weight to within a healthy range will lower your blood pressure even more.
It is important to stop smoking if you have high blood pressure. Smoking increases the risk of developing heart problems and other diseases. Ensuring that you live and work in places that are smoke-free is also important.
Other lifestyle modifications include weight control, diet watch (portion control, use of less salt, using less oil in our foods and when we do use oil to focus on the heart healthy oils) etc
Good night, people 😀
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